腹腔镜下腹腔镜结肠癌重复囊肿切除术的应用

Laparoscopic excision of an ascending colon duplication cyst in an adolescent

Gastrointestinal tract duplication cysts are rare congenital gastrointestinal malformation in young patients and adults. They consist of foregut duplication cysts, small bowel duplication cysts, and large bowel duplication cysts. Endoscopic ultrasound (EUS) has been widely used as a modality for the evaluation and diagnosis of duplication cysts. EUS is the diagnostic tool of choice to investigate duplication cysts since it can distinguish between solid and cystic lesions. The question of whether or not to perform EUS-fine needle aspiration (EUS-FNA) on a lesion suspected of being a duplication cyst is controversial as these lesions can become infected with significant consequences, although EUS-FNA is often required to obtain a definitive diagnosis and to rule out more ominous lesions. This manuscript will review the literature on duplication cysts throughout the body and will also focus on the role of EUS and FNA with regards to these lesions.

Keywords: Bronchogenic, duodenal, duplication cyst, esophageal, endoscopic ultrasound, fine needle aspiration, mediastinitis

Laparoscopic excision of an ascending colon duplication cyst in an adolescent

Fig. 1. CT scan identifying cystic lesion in the right lower quadrant. No contrast is seen within the lesion.

腹腔镜下腹腔镜结肠癌重复囊肿切除术的应用

Fig. 2. Following resection, the duplication cyst was opened on the back table allowing for visualization of the common wall. The appendix is noted separately (bottom left) with the resected portion of ileum protruding from underneath the cyst.

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